Hashimoto’s thyroiditis, if the patient has no discomfort or abnormalities, does not require surgery. If there is hypothyroidism, etc., surgery is needed. Hashimoto’s thyroiditis is an autoimmune disease, often caused by genetics, autoimmunity, environmental factors and other aspects, mainly in the middle-aged female population, in the early stage of the disease, the patient may not have any symptoms, with the progression of the disease, the patient may experience fatigue, sore throat feeling. If the patient’s thyroid hormones are normal and there is no obvious discomfort, the patient can be left untreated and only needs to be observed and the thyroid function checked regularly. If hypothyroidism occurs, i.e., the thyroid hormone is elevated or the thyroxine is lowered, the patient needs to be given thyroxine tablets in time for the replacement of the treatment, and the dosage needs to be adjusted regularly according to the level of the thyroxine hormone. Surgery is not an option for Hashimoto’s thyroiditis, but can be performed on the advice of a surgeon if there are complications, such as goiter, which affects swallowing or respiratory function, ineffective thyroid hormone therapy, or the presence of combined thyroid cancer. The presence of Hashimoto’s thyroiditis requires active diagnosis and treatment under the guidance of a doctor to avoid delays.